In [23], positive scores(90–99%) for the lecture materials provided by a learning management system k-MED as compared to HTML and PDF lectures.It has been observed that curriculum components with practicals are highly liked by students. A special study of blended learning with Computer Supported Collaborative Learning (CSCL) in whichneutral response of students is observed for discussing radio logical cases. The students of lesser grade levels were more satisfied and showed a more positive attitude toward CSCL as compared to final year students [31].Teaching with traditional use of digital environments is not obsolete and it does not abandon the principles of case base dinter active teaching [32]. These methods have long been used in radiology education and can produce useful results with creative use of computer-based or digital methods. In [32], digital hot seat method of teaching (computer based) was rated good by 100% of the students as compared to film-based teaching. This is because it provides a clear visibility and high level of interaction for solv in gradiological cases. Another computer-based learning tool Learning Virtual Object LVO [20] is useful in CEPH learning and its usability is approved by majority of students 82.45% ± 6.78%. In another study students were satisfied and found the game interesting and reinforced learning.Learning in cyberspace has benefits over traditional learning environments as pointed out by Ruiz et al. [33]. The basic topics of radiology can be learned with virtual lectures as these can be accessed several time but these cannot be substitute for conventional lectures as there exist several disadvantages including lack of student-teacher interaction or more time utilized in learning through repeating virtual lectures, etc. Therefore, blending online educational techniques with face to face traditional methods have several advantages in radiology education as mentioned in [13]. The student’s perception about the usefulness of virtual lectures through EMERAM was high 8.82 ± 1.00 for learning general radiology [14]. They also evaluated the contents higher than the presentation designs. It should be noted that these satisfaction levels are specific to general radiology course with simple contents.Therefore, it can be said that satisfaction levels also depends on the course content (either simple or complex) to be delivered.Audience Response System ARS has shown useful results in other medical and non medical fields [18] but its use is limited in the radiology education because of its intense image based nature.In [18], use of audience response system I 2 vote for radiology edu-cation was ranked 4.2 by students on a five point Like rtscale in terms of usability and 3.8 in terms of its image based inter action capabilities. Both students and teachers are highly satisfied. Ninety-eight percent of the students believe that it has added value to the course and 93% felt that it greatly improved the interaction in the classroom sessions.